PSIA AASI Plq Order Form 2011 2012 by 9DvZVQ

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									                  PROFESSIONAL SKI INSTRUCTORS OF AMERICA
                      AMERICAN ASSOCIATION OF SNOWBOARD
                                 INSTRUCTORS

                                  Plaque Order Form
                                For Authorized Member Schools

                     Please indicate the type of plaque you would like to order.
                      PSIA _____               AASI ___          (Both could be selected)

                     Snowsport School Name as it should appear on the plaque:

                            _______________________________________
                                         (Please type or print clearly)

SHIP ORDER TO:

Snowsport School: __________________________________________________________________________

Ordered By: __________________________________________________________________________________

Shipping Address (NO P.O. Box Please): ____________________________________________________________

City: ____________________________________ State: _________________ Zip Code: ___________________

Daytime Phone Number: ( __ __ __) __ __ __ - __ __ __ Email Address:
_________________________________________
          _____ Plaque(s) @ $55.00 each =                                        $ _____ . ___
          Shipping & Handling (see below)                                        $ _____ . ___
          Sales Tax (5.6% ~ State of Wisconsin Only)                             $ _____ . ___
          Total                                                                  $ _____ . ___

  Check Enclosed _____              Credit Card: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Exp: _ _ / _ _

 Please make your check payable to:    ERFFMEYER & SON CO., INC.
                                           Shipping & Handling Charges
                  Standard (10-15 working days):     $ 15.00   (Add $5.00 for each additional plaque)
                  Expedited ( 5-7 working days):     $ 32.00   (Add $7.00 for each additional plaque)



                   Please Mail, Phone, Fax or Email your order to:
    ERFFMEYER & SON CO., INC.                             Phone:              414-354-7800
                                                          Fax:                414-362-7287
    P.O. Box 240047
                                                          Email:              info@escoinc.com
    Milwaukee, WI 53224-9002
                                                          WebSite:            www.escoinc.com

								
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